Gornostaeva, Maria

Gornostaeva, Maria is an sole proprietor health care provider with primary practice located at 1363 W Spruce Ave , Wasilla AK 99654-5327. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gornostaeva, Maria can be contacted via phone (907) 376-2411.

Contact Information

Primary practice address
1363 W Spruce Ave Wasilla AK 99654-5327
Phone: (907) 376-2411
Fax: (907) 352-3363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 33006530A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34007274A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 118254 Alaska

Profile Details

NPI number 1568700870
LBN Legal business name Gornostaeva, Maria
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2013
Last updated Aug 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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